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Disorders of Potassium Metabolism (칼륨 대사 장애)

  • Lee, Joo-Hoon
    • Childhood Kidney Diseases
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    • v.14 no.2
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    • pp.132-142
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    • 2010
  • Hypokalemia usually reflects total body potassium deficiency, but less commonly results from transcellular potassium redistribution with normal body potassium stores. The differential diagnosis of hypokalemia includes pseudohypokalemia, cellular potassium redistribution, inadequate potassium intake, excessive cutaneous or gastrointestinal potassium loss, and renal potassium wasting. To discriminate excessive renal from extrarenal potassium losses as a cause for hypokalemia, urine potassium concentration or TTKG should be measured. Decreased values are indicative of extrarenal losses or inadequate intake. In contrast, excessive renal potassium losses are expected with increased values. Renal potassium wasting with normal or low blood pressure suggests hypokalemia associated with acidosis, vomiting, tubular disorders or increased renal potassium secretion. In hypokalemia associated with hypertension, plasam renin and aldosterone should be measured to differentiated among hyperreninemic hyperaldosteronism, primary hyperaldosteronism, and mineralocorticoid excess other than aldosterone or target organ activation. Hypokalemia may manifest as weakness, seizure, myalgia, rhabdomyolysis, constipation, ileus, arrhythmia, paresthesias, etc. Therapy for hypokalemia consists of treatment of underlying disease and potassium supplementation. The evaluation of hyperkalemia is also a multistep process. The differential diagnosis of hyperkalemia includes pseudohypokalemia, redistribution, and true hyperkalemia. True hyperkalemia associated with decreased glomerular filtration rate is associated with renal failure or increased body potassium contents. When glomerular filtration rate is above 15 mL/min/$1.73m^2$, plasma renin and aldosterone must be measured to differentiate hyporeninemic hypoaldosteronism, primary aldosteronism, disturbance of aldosterone action or target organ dysfunction. Hyperkalemia can cause arrhythmia, paresthesias, fatigue, etc. Therapy for hyperkalemia consists of administration of calcium gluconate, insulin, beta2 agonist, bicarbonate, furosemide, resin and dialysis. Potassium intake must be restricted and associated drugs should be withdrawn.

Effects of Medical Nutrition Therapy on Dietary Quality, Plasma Fatty Acid Composition and Immune Parameters in Atopic Dermatitis Patients (아토피 피부염 환자에서 12 주간의 심층 영양관리에 따른 식사의 질과 혈중 지방산조성 및 면역지표에 관한연구)

  • Kim, Bang-Shil;Kim, Yun-Young;Park, Jin-Hee;Kim, Nack-In;Choue, Ryo-Won
    • Korean Journal of Community Nutrition
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    • v.13 no.1
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    • pp.80-90
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    • 2008
  • Atopic dennatitis (AD) is one of the major public health problem. It has been reported that the prevalence of AD in children and adults are 10-20% and 1-3%, respectively. Westernization of food habits, urbanization, and environmental pollution are contributing factors toward the recent rise in prevalence. Excessive dietary restriction leads to chronic malnutrition in atopic dermatitis patients. The purpose of this study was to investigate the effects of medical nutrition therapy (MNT) on quality of diet and blood immune parameters in atopic dermatitis patients. The 19 atopic dermatitis patients (7 men and 12 women) admitted to K University Medical Center were studied. During the 12 weeks of intervention, the subjects were given MNT by a dietitian for 30-45 minutes every other week. MNT was comprised with general dietary therapy, intake of balanced meals, emphasis on n-3 fatty acid contents in foods, and food allergies. Anthropometric and dietary assessment and blood analysis were taken at baseline and after 12 weeks of MNT. After 12 weeks of MNT, the subjects' dietary qualities, including dietary diversity score (DDS), meal balance score (MBS) and dietary variety score (DVS) were significantly increased (p < 0.05). According to significantly increased intake of EPA and DHA, dietary n-6/n-3 fatty acid ratio decreased to the recommended level for the atopic dermatitis patients (p < 0.05). These changes of dietary fatty acid consumption were reflected erythrocyte fatty acid composition. After 12 weeks of MNT, serum levels of IgE and IL-4 levels were significantly decreased, however, the levers of INF-$\{gamma}$, WBC, lymphocyte and TLC were not changed. As a conclusion, the individualized MNT improved the quality of diet in atopic dermatitis patients thereby influenced RBC fatty acid composition and IgE and IL-4 levels.

An Analysis on the Math Camp Programs for Elementary Gifted Students -In Case of the Education Centers for the Gifted in Seoul Metropolitan Office of Education- (초등 영재교육원 수학 영재캠프 프로그램 분석 -서울특별시교육청 산하 영재교육원 사례를 중심으로-)

  • Lim, Kyeong-Jin;Park, Man-Goo
    • Journal of Elementary Mathematics Education in Korea
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    • v.14 no.1
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    • pp.81-102
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    • 2010
  • The purpose of this study was to analyze the content and design of the seven math camp programs for students of the education centers for the elementary gifted students. The analysis focused on the goals, content, and evaluations utilized in the math camp programs. The results of the study were as follows. First, there was no big difference between the goals set for each camp, and they mainly focused on the goals in affective domain. Second, the content of math camp programs was focused on enrichment rather than acceleration. Most of the programs were focused on geometry, whereas fewer programs were focused on measurement, probability and statistics. Based on the Analysis, we found that only nine out of 27 programs applied level-wised or individual exercise programs. Third, all centers for the mathematically gifted carried out evaluations of their math camp programs. However, a specific evaluation plan was not established for the math camp program plans. We suggested the direction of math camp programs as follows. First, the goals should reflect on the intended outcomes of the math camp programs. Also, the goals of math camp programs need to be distinctive from general education goals. Second, the programs should contain harmonious contents with enrichment and acceleration and must include various reactions and task commitment. The math camp programs need to include references and an appropriate information for the gifted students to encourage self-directed learning. Third, a more specific evaluation plan for math camp programs needs to be developed for effective education for the gifted students.

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Early Childhood Teachers' Recognition and Actual State on Cooperative Art Activities (협동미술활동에 대한 유아교사의 인식 및 실태)

  • Lee, Sun Hye;Seo, Hyun
    • Korean Journal of Child Education & Care
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    • v.17 no.3
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    • pp.111-151
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    • 2017
  • The purpose of this study is to investigate the perception and actual condition of early childhood teachers about the activities of cooperative art in early childhood education institutions. The subjects of the study were 280 teachers of early childhood education institutions in Y city. The research method was a questionnaire survey on the perception and actual condition of the cooperative art activities. For the research problems, frequency, percentage, and average were calculated by using descriptive statistics, and t - test, F - test, and ${\chi}^2$ - test were conducted to examine the differences according to background variables of early childhood teachers. In conclusion, this study showed that the need for cooperative art activities of early childhood education institutions was highly perceived, and there were significant differences according to the background variables of teachers in educational goals, contents and method. There were significant differences according to the teachers' background variables in the actual cooperative art activities in terms of frequency, method, time, evaluation method, teacher training and support. Based on the results of this study, various supporting methods such as activities plan and method, teacher education and training appropriate for the cooperative art activity program and the presentation of young children are sought so that more desirable and efficient cooperative art activities can be operated in the field of early childhood education suggesting that it should be done.

The Study on the Early Diagnosis of Injuries for Needles of Conifer by Acid Rain and Air Pollutants (산성비 및 대기오염물질이 침엽수 잎에 미치는 피해의 조기판단에 관한 연구)

  • 이경재;송근준;김선희;이윤원
    • Korean Journal of Environment and Ecology
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    • v.7 no.2
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    • pp.252-269
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    • 1994
  • This study was conducted to the early diagnosis of injuries on needles of conifer by acid rain and air pollutants in metropolitan area, Korea. It was executed to calculate of injured index, contact angle measurement, nutrient content analysis in needles, analysis of soil chemical properties from June 1990 to June 1991. The sensitive species (Picea abies, Abies holophylla) for acid rain and air pollutants were used as the study materials. And the results from this study were as follows : Degree of Injured index was divided into three groups in June 1990. The first group (not injured sites) was Kwangnung and Yangpyung. The Second group (slight injured sites) was Inchon, Boramae Park, Kwachun, Seoul Women's Univ., Anyng, and Yangsuri. The third group (serious injured sites) was Namsan, Seoul City Univ., Children's Park, and Kumgok Royal Tomb. But, Inchon, Kwachon area were changed from slight injured areas to serious injured areas in December 1990. As time goes on, the degree of injured gets worse. In contact angle analysis, value of December 1990 was lower than that of June 1990, especially, that of two-year-needle were lower than of one-year-needle. The correlation between injured Index and contact angle was significantly negative. In the result of needle nutrients analysis of Picea abies, Abies hozophylla, Ca, Mg, K contents was higher in December 1990 than that in June 1991 and that of one-year-needle were prominantly higher than that of two-year-needle. In case of wax quantity analysis in injured area, the older the leaf age is, the smaller the contented wax quantity is. In injured area, the higher a leaf age is, the much that of index is. As a result, the method of analysis referred in the former, is applied by a complementary cooperation. That of method is done sustainably in the future, the correct results will be expected.

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A Study on the Gender Roles Featured in the Illustrations of the Parents in the Middle and High School 'Technology & Home Economics' Textbooks (중·고등학교 '기술·가정' 교과서 부모삽화에 나타난 성역할 연구)

  • Park, Young Joo;Jun, Mikyung
    • Journal of Korean Home Economics Education Association
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    • v.32 no.1
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    • pp.35-50
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    • 2020
  • This study analyzed the images of father and mother featured in the illustrations of the middle and high school textbooks, paying attention to the roles of the school education for the effective gender equality. The purpose of this study was to examine whether the middle and high school textbooks would serve for a balanced gender role through their illustrations. To this end, this study sampled a total of 36 middle and high school textbooks: for the middle schoolers, and for high schoolers, and thereby, selected their illustrations of parents, and then, analyzed them in terms of their external aspects and contents. Summing up, it could be confirmed through the middle and high school textbooks that most of their illustrations show gender-equal roles, while some of them reflect a fixed conception of the gender roles. Since the homes are the bases for socialization of the children about the gender roles, it is required of our middle and high schools to implement a gender-equal education. As seen in the results of this study, some illustrations of our middle and high school 'technology and home Education' textbooks feature the mothers as housekeeper and the fathers as family heads creating the goods and services. Hence, it is urgent to correct such conception of the patriarchal gender roles.

Contents Construction of Learning a Region through the Analysis of Local Textbook, Social Studies Inquiry : Life in Seoul (지역화 교과서 분석을 통한 지역 학습 내용 구성 방안 -"사회과 탐구: 서울의 생활"을 중심으로-)

  • Yoon, Ok-Kyong
    • Journal of the Korean association of regional geographers
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    • v.13 no.2
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    • pp.220-233
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    • 2007
  • In the context of region reconceptualized as a learning framework, using the Seoul region as an example, this paper focused on the debate and the condition of regional social studies curriculum in elementary schools, It means that regionalization of curriculum is the decentralization of power to develop and manage curriculum In that case, region is understood to he a resource used to connect the subject matter to children's experience, Furthermore, region is interpreted as Heimat, community and world around, Heimat is intended to be understood, loved and belonged to, Community is the resource for learning and the space of communication, participation and action, World around is the typical example to be searched, compared and explained by the concept and theory. On the base of the regionalization debate and the classification of learning a region, I analysed the local textbook, Social Studies Inquiry: Life in Seoul and suggested the framework of learning a region. In this paper, I tried to pick out the spatial demension of Seoul. It is classified into the space of experience, participation and inquiry, In conclusion, the region-specific materials and approach laying stress on the issue and topic in the geographical context of the region will determine that a proper regionalization occurs through not only methods hut also content.

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A Study on the Factor's Affecting Pre-Service Childcare Teachers' Childcare Practice Satisfaction (예비보육교사들의 보육실습 만족도에 영향을 미치는 요인 연구)

  • Kim, Young-Tae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.1
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    • pp.530-537
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    • 2020
  • The purpose of this study was to determine the factors affecting the satisfaction with pre-service childcare, the work related stress, and the conflicts perceived by pre-service childcare teachers. The data was processed using the SPSS Statistical Package Program, and the frequencies, means, and standard deviations were calculated. Reliability analysis, correlation analysis, and multiple regression analysis were also conducted. The results showed that the class contents, the environment of childcare practice, and the conflicts with children were stressful and they negatively affected practice satisfaction. Second, there was statistically significant negative correlation between the pre-service teachers' childcare practice stress, conflict during the practice, and practice satisfaction. Third, the stress of preservice teachers' childcare practice and the conflict felt during the practice also affect the childcare practice satisfaction. Based on these findings, further study is needed for implementing effective measures in order to improve the practice satisfaction with exhaustive pre-practical education and the field job-oriented curriculum. These measures will enable students majoring in childcare to experience less stress and conflicts during their education.

A Study on the Awareness of Visitors to King Mu Trekking Course Program of Iksan (익산 무왕길 탐방프로그램 이용자의 인식에 대한 연구)

  • Park, Yool-Jin
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.36 no.4
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    • pp.80-93
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    • 2018
  • The following results could be obtained from the research on awareness and satisfaction of the tourists who joined the program 'A Journey in Search of King Mu's Road'. With regard to awareness of the site tour program, tourists replied that they participated in the program mainly because of their interest in education for their children. They expressed great needs for the municipal government office to maintain walkways, signboards and guide maps as well as to reinforce safety facilities as a measure to increase satisfaction with the site tour on the part of visitors and tourists. In terms of satisfaction with operation and management of the site tour program, the contents of the program were highly appreciated while it turned out necessary to rediscover garden culture resources and to develop and operate an expanded internal tour course for tourists to look around inside the relics by utilizing the recently excavated Baekje historical resources. As a consequence, it might be expected possible to experience and educate the local history and garden culture thanks to the historical culture and environmental values that have been preserved in the Baekje cultural circles. Moreover, the importance of walking trips will be recognized for its effects to allow those who get tired from daily life to come into contact with nature, practice self-reflection and care for their health as well.

Analysis of Recognition and Needs for Parents in Elementary, Middle, and High Schools for Mathematics Education (초·중등 학부모 대상 수학교과 인식 및 요구 조사)

  • Lee, Hyeung Ju;Kim, Hyeongsik;Ko, Ho Kyoung
    • Communications of Mathematical Education
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    • v.35 no.3
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    • pp.213-231
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    • 2021
  • This study is intended to investigate contents related to parents' perception and satisfaction level of school mathematics curriculum. Based on the results, this study intended to deduce implications for mathematics education in schools, child education, and parent education. According to the result of the survey, the more positively the parents perceived the value of the mathematics learning, the more positively the child perceived, and the higher the parent's participation rate in mathematics-related education was. In terms of perception of teaching and learning activities, it showed that the willingness to participate in educational programs was lower for the parents of middle and high school students than the parents of elementary school students and the parents of elementary school students also showed higher satisfaction level of school mathematics curriculum. parents have perceived the necessity of teaching and mathematics education to develop artificial intelligence or data analysis skills. It was also found that the parents of middle and high school students' participation experience in education had an effect on the satisfaction level of their children's math teacher's class preparedness. Parents perceived positively to how pragmatic mathematics curriculum can be and provided answers to what they wish in specific mathematics classes in learning methods and future mathematics learning. As this is for educational experts to consider much in-depth in the future, this study suggested the need for diverse parents' education related to mathematics including the expansion of mathematics education with parents' participation, the creation of a mathematics learning environment for future mathematics learning.